الفهرس 
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Abstract
Hypospadias, is an inherent mutation of the male urethra, it is a not unexpected birth deformity in human and is accounted for to be expanding in rate. Hypospadias is the most widely recognized inconsistency in male genital plot with aapproximately 1 for every 300 male babies .
Numerous arrangements for hypospadias were made in a preliminary to choose the best activity for each kind, every one of them rely upon the site of the meatus particularly after remedy of the chordae .
Medical procedure to fix hypospadias has a background marked by over 150 years, To date in excess of 300 surgeries with going with variety have been proposed for the maintenance of hypospadias . Such fix ought to be straightforward, effortlessly educated, pertinent to most of cases, finished in a solitary stage and bringing about satisfying corrective outcome with a low complexity rate.
Sooner rather than later, a solitary stage fix of hypospadias is alluring. The Snodgrass ( TIP ) fix is broadly utilized for distal hypospadias .
Snodgrass urethroplasty for distal hypospadias is a typical method and acknowledged around the world. It is a milestone throughout the entire existence of hypospadias fix.
In 1928, ’’Mathieu’’ depicted a careful strategy to fix distal penile or foremost hypospadias in a solitary activity. The consequences of this strategy were first revealed in 1932 .Since then, at that point, and because of the victories accomplished, the move has been advocated. Ahmed T. Hadidi has been playing out a change of the Mathieu procedure . There has been constant advancement and changes during that time from Y-V altered Mathieu (1992-2002) and reversed Y-V adjusted Mathieu (2003-2004) to the cut like changed Mathieu (SLAM) strategy, beginning around 2005. The SLAM strategy stays away from the downsides of the exemplary Mathieu (a cross over adjusted meatus that isn’t terminal).
In this proposal 50 patientes with essential hypospadias were separated into two gatherings : bunch 1 was 25 cases who had been worked with doing TIP fix , group2 was likewise 25 cases who had been worked with doing SLAM fix, the mean age for each gathering was 24(15) four years.
Furthermore 29(12) four years individually, the mean employable time for each gathering was 65.64 minutes ± 8.76 and 94.46 minutes ± 8.76 with critical stastistical contrast ( P esteem ꞊ <0.001* ) with around 30 minutes distinction between two gatherings, the rate of urethro-cutaneous fistula was 8% in the two gatherings, the rate of meatal stenosis was 16% in bunch 1 and not announced in bunch 2.
In this stady, there is no genuinely huge distinction between two gatherings aside from the usable time, and meatal stenosis.
In the current review we revealed that SLAM fix is related with lower rate of meatal stenosis than TIP . Then again, SLAM fix consumes an altogether longer time than TIP. The two procedures show palatable by and large cosmosis.
In this way, the current review show that TIP and SLAM fix had great result and insignificant intricacy rate . Both are protected , dependable and reproducible procedures in distal hypospadias fix.